Moran Ag Ventures

Safety Inspection

• Area(s) Being Inspected (i.e. Shop, Bin, etc.):

Place

• Date of Inspection:

  Date

• Members of the Inspection Team:

1. Site Access

• Clean, level ground

  Yes

  No

  N/A

• Adequate ladders

  Yes

  No

  N/A

2. Protective Equipment

• Foot protection

  Yes

  No

  N/A

• Yes

  No

  N/A

• Select from range

• Eye & Face protection worn?

  Yes

  No

  N/A

• Is eye & face protection available?

  Yes

  No

  N/A

• Is hearing protection worn?

  Yes

  No

  N/A

• Is hearing protection available?

  Yes

  No

  N/A

• Is respiratory equipment available?

  Yes

  No

  N/A

• Is respiratory equipment available?

  Yes

  No

  N/A

3. Guardrails, Barricades

• Located where required

  Yes

  No

  N/A

• Properly constructed

  Yes

  No

  N/A

• Adequately secured

  Yes

  No

  N/A

4. Ladders

• Are ladders in use at this worksite?

  Yes

  No

  N/A

• Properly used

  Yes

  No

  N/A

• Proper handrails and landings

  Yes

  No

  N/A

• Non-slip bases

  Yes

  No

  N/A

• Secured

  Yes

  No

  N/A

• Safe, usable condition

  Yes

  No

  N/A

• Proper size and type

  Yes

  No

  N/A

5. Fire Prevention

• Extinguishers where required

  Yes

  No

  N/A

• Fully charged

  Yes

  No

  N/A

• Adequately identified

  Yes

  No

  N/A

• Master Emergency Plan

  Yes

  No

  N/A

6. Housekeeping

• Clear walkways

  Yes

  No

  N/A

• Clear work areas

  Yes

  No

  N/A

• Clear access and landing

  Yes

  No

  N/A

7. Fall Protection

• Is fall protection in use at this worksite?

  Yes

  No

  N/A

• Properly worn

  Yes

  No

  N/A

• CSA approved

  Yes

  No

  N/A

• Safe, usable condition

  Yes

  No

  N/A

8. Power Tools, Equipment

• General condition

  Safe

  At Risk

  N/A

• Proper guards, cords, PPE

  Yes

  No

  N/A

• Use of "Defective" tags

  Yes

  No

  N/A

9. Extension Cords

• Outdoor type rated over 300 volts

  Yes

  No

  N/A

• General condition of casings, ends, and connections

  Safe

  At Risk

  N/A

10. Compressed Gas Cylinders

• Are there compressed gas cylinders at this worksite?

  Yes

  No

  N/A

• Properly located

  Yes

  No

  N/A

• Properly secured

  Yes

  No

  N/A

• Properly moved or lifted

  Yes

  No

  N/A

11. Worker Education

• WHMIS training

  Yes

  No

  N/A

• Company safety policy & program

  Yes

  No

  N/A

• Injury reporting

  Yes

  No

  N/A

• Hazard reporting

  Yes

  No

  N/A

• WSH Act and Regulations

  Yes

  No

  N/A

• Personal Health & Safety responsibilities

  Yes

  No

  N/A

12. First Aid Requirements

• Adequate number of first-aiders on jobsite

  Yes

  No

  N/A

• First Aid kits

  Yes

  No

  N/A

• Adequate number

  Yes

  No

  N/A

• Adequately stocked

  Yes

  No

  N/A

13. Welding

• Does welding happen at this worksite?

  Yes

  No

  N/A

• Rods and cylinders properly labeled

  Yes

  No

  N/A

• MSDS readily available

  Yes

  No

  N/A

• Properly secured ground cable

  Yes

  No

  N/A

• Proper eye protection worn

  Yes

  No

  N/A

• Proper screens and exhaust

  Yes

  No

  N/A

• Cylinders upright and secured

  Yes

  No

  N/A

• Fire extinguisher readily available

  Yes

  No

  N/A

14. Temporary Power Supply

• Is a temporary power supply available for use at this worksite?

  Yes

  No

  N/A

• Properly identified?

  Yes

  No

  N/A

• Overhead lines flagged and secured?

  Yes

  No

  N/A

• Surface cables buried or protected?

  Yes

  No

  N/A

15. Signs & Print Material

• WSH Act & Regulations

  Yes

  No

  N/A

• MSDS copies available

  Yes

  No

  N/A

• Proper use of Warning Signs

  Yes

  No

  N/A

• Emergency Phone List

  Yes

  No

  N/A

• Report Forms

  Yes

  No

  N/A

16. Materials Storage

• Properly located

  Yes

  No

  N/A

• Safely piled, stacked or bundled

  Yes

  No

  N/A

• Properly moved or lifted

  Yes

  No

  N/A

• Properly labelled (WHMIS)

  Yes

  No

  N/A

17. Hygiene

• Overall cleanliness of this worksite

Further Actions

• Immediate Action(s) Required:

Signature of Auditor(s):

• Signature of Auditor:

  Sign

• Signature of Auditor:

  Sign